Advances in study on complications encountered in ultrasonography-guided thermal ablation of benign thyroid nodules
Since 2000, ultrasonography-guided thermal ablation has been widely applied in treating benign thyroid nodule(BTN). However, considering complicated structures of thyroid gland and its surrounding tissues，various complications （such as voice change and hematoma）have been reported and attracted clini...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Diagnostics Concepts & Practice
2023-04-01
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| Series: | Zhenduanxue lilun yu shijian |
| Subjects: | |
| Online Access: | https://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1693470277877-1459301005.pdf |
| _version_ | 1797729141533966336 |
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| author | HUA Qing, ZHOU Jianqiao |
| author_facet | HUA Qing, ZHOU Jianqiao |
| author_sort | HUA Qing, ZHOU Jianqiao |
| collection | DOAJ |
| description | Since 2000, ultrasonography-guided thermal ablation has been widely applied in treating benign thyroid nodule(BTN). However, considering complicated structures of thyroid gland and its surrounding tissues，various complications （such as voice change and hematoma）have been reported and attracted clinical attention. Intraoperative complications encountered in thermal ablation of BTN comprises of nerve (including the recurrent laryngeal nerve, sympathetic nerve and brachial plexus nerve) injury, vascular injury, skin burn and surrounding tissue burn, while postoperative complications mainly include nodule rupture, liquefactive necrosis and abnormal thyroid function. Among intraoperative complications, nerve injury is characterized by vocal changes, which is the most common complication. In the treatment of BTN using radiofrequency ablation and microwave ablation, occurrence rate of vocal changes is 0.4% to 8.1%. Other nerve complications include Horner's syndrome and brachial plexus injury. Vascular injury manifests as bleeding and hematoma; Burns to surrounding tissues include skin burns, tracheal burns, and esophageal burns. Postoperative complications include nodule rupture and abnormal thyroid function.Nodule rupture often occurs 1 week to 6 months after surgery. Liquefactive necrosis is a rare change after BTN using thermal ablation surgery. Abnormal thyroid function includes hypothyroidism and hyperthyroidism. This article reviews the manifestations of complications during and after ultrasound-guided thermal ablation of BTN, providing reference for diagnosis and treatment of complications. |
| first_indexed | 2024-03-12T11:24:45Z |
| format | Article |
| id | doaj.art-051a406db8ae49c19c49d72daeedcf5b |
| institution | Directory Open Access Journal |
| issn | 1671-2870 |
| language | zho |
| last_indexed | 2024-03-12T11:24:45Z |
| publishDate | 2023-04-01 |
| publisher | Editorial Office of Journal of Diagnostics Concepts & Practice |
| record_format | Article |
| series | Zhenduanxue lilun yu shijian |
| spelling | doaj.art-051a406db8ae49c19c49d72daeedcf5b2023-09-01T10:15:27ZzhoEditorial Office of Journal of Diagnostics Concepts & PracticeZhenduanxue lilun yu shijian1671-28702023-04-01220218418910.16150/j.1671-2870.2023.02.013Advances in study on complications encountered in ultrasonography-guided thermal ablation of benign thyroid nodulesHUA Qing, ZHOU Jianqiao0Department of Ultrasound, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.Since 2000, ultrasonography-guided thermal ablation has been widely applied in treating benign thyroid nodule(BTN). However, considering complicated structures of thyroid gland and its surrounding tissues，various complications （such as voice change and hematoma）have been reported and attracted clinical attention. Intraoperative complications encountered in thermal ablation of BTN comprises of nerve (including the recurrent laryngeal nerve, sympathetic nerve and brachial plexus nerve) injury, vascular injury, skin burn and surrounding tissue burn, while postoperative complications mainly include nodule rupture, liquefactive necrosis and abnormal thyroid function. Among intraoperative complications, nerve injury is characterized by vocal changes, which is the most common complication. In the treatment of BTN using radiofrequency ablation and microwave ablation, occurrence rate of vocal changes is 0.4% to 8.1%. Other nerve complications include Horner's syndrome and brachial plexus injury. Vascular injury manifests as bleeding and hematoma; Burns to surrounding tissues include skin burns, tracheal burns, and esophageal burns. Postoperative complications include nodule rupture and abnormal thyroid function.Nodule rupture often occurs 1 week to 6 months after surgery. Liquefactive necrosis is a rare change after BTN using thermal ablation surgery. Abnormal thyroid function includes hypothyroidism and hyperthyroidism. This article reviews the manifestations of complications during and after ultrasound-guided thermal ablation of BTN, providing reference for diagnosis and treatment of complications.https://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1693470277877-1459301005.pdf|complication|thermal ablation|thyroid nodule|ultrasound |
| spellingShingle | HUA Qing, ZHOU Jianqiao Advances in study on complications encountered in ultrasonography-guided thermal ablation of benign thyroid nodules Zhenduanxue lilun yu shijian |complication|thermal ablation|thyroid nodule|ultrasound |
| title | Advances in study on complications encountered in ultrasonography-guided thermal ablation of benign thyroid nodules |
| title_full | Advances in study on complications encountered in ultrasonography-guided thermal ablation of benign thyroid nodules |
| title_fullStr | Advances in study on complications encountered in ultrasonography-guided thermal ablation of benign thyroid nodules |
| title_full_unstemmed | Advances in study on complications encountered in ultrasonography-guided thermal ablation of benign thyroid nodules |
| title_short | Advances in study on complications encountered in ultrasonography-guided thermal ablation of benign thyroid nodules |
| title_sort | advances in study on complications encountered in ultrasonography guided thermal ablation of benign thyroid nodules |
| topic | |complication|thermal ablation|thyroid nodule|ultrasound |
| url | https://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1693470277877-1459301005.pdf |
| work_keys_str_mv | AT huaqingzhoujianqiao advancesinstudyoncomplicationsencounteredinultrasonographyguidedthermalablationofbenignthyroidnodules |